Physician Practice Optimization

The majority of physician practices are not using their EHRs effectively from the standpoint of provider efficiency, performance in quality-based programs, and billing and coding. A few providers have had marked success clinically and from a business perspective through detailed EHR customization of their EHRs, allowing them to increase patient volumes while improving performance. HCIT Consulting  offers a service that represents the next phase of health information technology in physician practices regarding workflow and IT optimization to identify revenue generating opportunities and efficiency gains.

We assist with gap analysis of products, project management, and the effectiveness of prior implementations. Our turn-key physician optimization has delivered bottom-line results for providers and implemented best-practice change utilized in day-to-day operations, including the achievement of optimal MIPS scores ranging as high as 100 points. Our areas of focus include:

EHR Coding Optimization: Our team will assess the coding and compliance capabilities of your EHR and its content. Due to the complexity of the coding rules, clinicians often code at a level that is below what would be supported by medical necessity. We provide guidance on how to use your EHR to accurately document and code based on published guidelines which may vary from state to state and payer to payer. In general, Practices see clinical documentation improvements (CDI), improvements in efficiency, coding accuracy and patient throughput.

Workflow and Efficiency Analysis: We identify workflow solutions for your practice based on our experience  with practices of a similar size and specialty that have improved their productivity and revenue based on workflow analysis in context with available technologies in the practice.  Additional technologies that may benefit your practice (e.g. mobile applications, tele-health, patient kiosks, etc.) may be recommended if there is a clear advantage to your practice. We also assist with gap analysis of products, project management, and implementation as needed.

Compliance with Incentive Programs:There are currently several programs that may benefit you practice or even result in penalties if certain criteria are not met. These include well-known programs such as Meaningful Use, PQRS, and PCMH. Our suite of physician services includes support for optimization of  quality measures, MACRA, MIPS, APMs/ACOs, TCM, CCM, HCC, the Patient Centered Specialty Practice (PCSP), bundled payment models and other initiatives. For more information about our Audit Defense services, click here.

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